Jill Michelle Bradley, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1284 Issued in CO

Practice address

4740 Flintridge Dr Ste 220M
Colorado Springs, CO 80918-4273

Phone

(719) 459-9034

NPI assigned

Apr 2, 2010

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Jill Bradley LCSW LLC

  • Clinical Social Worker
  • Colorado Springs, CO
  • NPI 1629936620
  Medicare reassignment NPD Authorized official
• Lisa Joyce Ma LPC LLC

  • Adult Mental Health Clinic/Center
  • Colorado Springs, CO
  • NPI 1871357087
  NPD
• Associates in Counseling, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Colorado Springs, CO
  • NPI 1356627913
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1270166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600041600000",
    "number": "1316262371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4740 FLINTRIDGE DR STE 220M",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809184273",
            "telephone_number": "719-459-9034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4740 FLINTRIDGE DR STE 220M",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809184273",
            "telephone_number": "719-459-9034"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6208 Lehman Dr",
            "address_2": "Suite 230",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809188408",
            "country_code": "US",
            "telephone_number": "719-598-0982",
            "fax_number": "719-264-7618",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRADLEY",
        "first_name": "JILL",
        "middle_name": "MICHELLE",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-02",
        "last_updated": "2020-09-14",
        "certification_date": "2020-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "1284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bobbie Leanna Bradley, AG-ACNP
• Elizabeth A Bradley, LPC
• Helle Marie Bradley, MD
• James J Bradley, CRNA
• Jazmane M Bradley
• Makayla Bradley
• Sean Michael Bradley, M.D.
• Susan M Bradley, RDH
• Taylor Renee Bradley, OTR
• Tim D Bradley

• Clinical Social Worker in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Clinical Social Worker in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.